Raeissadat Seyed Ahmad, Samadi Behnoud, Rayegani Seyed Mansour, Bahrami Mohammad Hasan, Mahmoudi Hooman
From the Physical Medicine and Rehabilitation Department, Clinical Research Development Center at Modarres Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran (SAR); Department of Physical Medicine and Rehabilitation, Vaseei Hospital, Sabzevar University of Medical Sciences (BS); Department of Physical Medicine and Rehabilitation, Shohada-e-Tajrish Hospital, Physical Medicine and Rehabilitation Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran (SMR, MHB); and Dr. Mahmoudi's Acquired Brain Injury Rehabilitation Center, Shiraz University of Medical Sciences, Shiraz, Iran (HM).
Am J Phys Med Rehabil. 2014 Jun;93(6):540-7. doi: 10.1097/PHM.0000000000000057.
This survey was completed on 600 medical residents in 19 randomly selected teaching hospitals from three Iranian medical universities to delineate some possible factors associated with medical residents' awareness of and attitude toward 11 specified areas of physical medicine and rehabilitation (PM&R). Fifty-four percent of the participants had a history of consultation with physiatrists. Male residents and those with history of general medicine education in a university having a residency program in PM&R were the most likely to consult with physiatrists. Age and graduation date were not significant predictors of consultation. Residency specialty was the most powerful covariate of consultation rate, with the highest rate of consultation in neurosurgery, neurology, and orthopedics. The best known areas of PM&R were rehabilitation of central nervous system disorders, electrodiagnostic studies, and prescription of physical modalities. The most requested areas of PM&R for collaboration were therapeutic exercise, musculoskeletal and rheumatic disorders, and geriatric rehabilitation. Overall, the residents of various specialties showed different levels of familiarity and attitude toward the different areas of PM&R. This indicates that specific programs are needed to improve PM&R collaboration with all specialties. Policy makers in all levels, from hospital administrators to the ministry of health, need to further enhance the familiarity of medical residents with the field PM&R.
这项调查在来自伊朗三所医科大学的19家随机挑选的教学医院中的600名住院医师中进行，以确定与住院医师对物理医学与康复（PM&R）11个特定领域的认知和态度相关的一些可能因素。54%的参与者有向物理治疗师咨询的经历。男性住院医师以及在设有PM&R住院医师培训项目的大学接受过普通医学教育的住院医师最有可能向物理治疗师咨询。年龄和毕业日期并非咨询的显著预测因素。住院医师专业是咨询率最有力的协变量，神经外科、神经内科和骨科的咨询率最高。PM&R最广为人知的领域是中枢神经系统疾病康复、电诊断研究以及物理治疗方式的处方。最希望开展合作的PM&R领域是治疗性锻炼、肌肉骨骼和风湿性疾病以及老年康复。总体而言，不同专业的住院医师对PM&R不同领域的熟悉程度和态度各不相同。这表明需要制定特定项目来改善PM&R与所有专业的合作。从医院管理人员到卫生部的各级政策制定者都需要进一步提高住院医师对PM&R领域的熟悉程度。
